Sensitive_Security_Information_Acknowledgement_Form.docx

This is a Sensitive Security Information Acknowledgement Form issued by the City of Phoenix Aviation Department for use in conjunction with a state and local contract opportunity for sodium bisulfite supply. The form template is designed to control access to documents containing Sensitive Security Information as defined under 49 C.F.R. Parts 15 and 1520. The City of Phoenix Water Services Department is soliciting sealed offers (IFB-26-0156) for a five-year sodium bisulfite supply contract beginning April 1, 2026, requiring liquid sodium bisulfite in two concentrations (25% and 38% by weight) for water and wastewater treatment operations. The procurement includes six line items covering full truckload, drum, and tote deliveries with estimated annual quantities ranging from 9,000 to 600,000 dry pounds. A non-mandatory pre-offer conference is scheduled for January 15, 2026, at 11:00 a.m. via Webex, with written inquiries due by January 22, 2026, at 2:00 p.m. Sealed offers must be submitted by February 2, 2026, at 2:00 p.m. through the City's Procurement Portal. The contract term is five years with possible extensions, and the City reserves the right to terminate with 30 days' written notice.

Offerors must demonstrate five years of operational history, obtain National Sanitation Foundation certification, provide Safety Data Sheets, and submit certified quality analysis from an independent third-party laboratory. Pricing must be submitted on a per-active-pound and per-gallon basis, with prices firm and fixed for the initial one-year period and subsequent annual price adjustments permitted with 60 days' written notice. The solicitation includes Disadvantaged Business Enterprise requirements under 49 C.F.R. Part 26. Contractors must maintain sufficient local inventory to support daily City requirements and comply with Department of Transportation, Environmental Protection Agency, and Occupational Safety and Health Administration regulations. Insurance requirements include Commercial General Liability ($2,000,000 aggregate), Automobile Liability ($1,000,000 combined single limit), Workers' Compensation coverage, and Pollution Liability Insurance of $1,000,000 per occurrence and $2,000,000 annual aggregate. Individuals signing this acknowledgement form agree to destroy the provided documents in compliance with applicable security regulations upon the earlier of project completion or the contract end date, as unauthorized disclosure of Sensitive Security Information may result in civil penalties.